Claim Adjudication - Express Sample Clauses

Claim Adjudication - Express. Scripts will adjudicate and pay approved claims for prescription drug benefits in accordance with Express Scripts’s TelePAID System and the applicable Plan Design. Should CITY OF TEMPE determine that a previously disapproved claim should be approved, and so direct Express Scripts, adjudication of the claim will be accomplished promptly by Express Scripts. CITY OF TEMPE will pay Express Scripts for claims adjudicated through the TelePAID System, pursuant to Section 2, Schedule A. Express Scripts will promptly refer to CITY OF TEMPE all non-routine inquiries by insurance departments, attorneys, claimants, or other persons following the denial of any claims.